Javad Mehrani, Mehdi Poorasghar,
Volume 25, Issue 133 (2-2016)
Abstract
Hypnotherapy is a valuable technique that aids in treatment of some patients. Adequate knowledge in this field could help dentists and specialists to profit from this treatment in very anxious patients. Current limitations of general anesthesia have led to restrictions in using this technique for treatment of dental patients. In recent years, hypnosis has gained much interest in medicine, psychology, and dentistry. The aim of this study was to evaluate the theory and background of hypnosis and its clinical application in dentistry.
Delaram Poorkazemi, Pegah Nasiri, Ali Malekzadeh Shafaroudi, Ghasem Janbabai, Mahmood Moosazadeh, Javad Mehrani Sabet,
Volume 32, Issue 208 (4-2022)
Abstract
Background and purpose: Systemic conditions, such as diabetes or cardiovascular disease are associated with periodontal disease. Recent studies suggested a link between periodontitis and gastrointestinal cancers. Due to the importance of this issue, this study aimed to evaluate the prevalence of chronic periodontitis in patients suffering from gastric, esophageal, and colorectal cancers attending Sari Imam Khomeini Hospital, 2017-2018.
Materials and methods: In this cross-sectional study, clinical examination of 100 patients was performed by assessing clinical attachment loss (CAL), bleeding on probing (BOP), and tooth loss. After recording the periodontal pockets' depth and gingival recession, the CAL was calculated. Chronic periodontitis was categorized as mild, moderate, and severe based on classification of periodontal disease. Chi-Square and ANOVA were applied for data analysis.
Results: According to findings in patients with gastric cancer (n= 23) mild, moderate and sever periodontitis were seen in 8.7%, 26.1%, and 26.1%, respectively. There were 10 patients with esophageal cancer of whom 40% were healthy, 40% had moderate periodontitis, and 20% had severe periodontitis. Among patients with colorectal cancer (n=67), 7.5% had mild periodontitis, 46.3% had moderate periodontitis, and 1.5% had severe periodontitis.
Conclusion: In patients with moderate to severe chronic periodontitis, due to the loss of periodontal support of the teeth that leads to loosening the teeth, the chances of tooth loss increase which naturally disrupts the patient's eating process and causes digestive problems.
Javad Mehrani Sabet, Zohreh Bari, Narges Tavahodi, Behrad Yadolahi, Melika Molaie,
Volume 34, Issue 232 (4-2024)
Abstract
Ingestion of dental appliances is a rare situation in dentistry, making up 6.6 percent of all ingested objects, but it can lead to severe complications, especially among adults, elderly patients, and people with mental disabilities. Devices such as flipper prostheses, prostheses, and restorations may become dislodged and result in foreign body impingement. Clinical examinations, including laryngo-pharyngoscopy, esophagoscopy, and radiography may be required in such cases. Swallowed prostheses may also be found using computed tomography. However, prosthetic elements may not be detected on CT scan. It is estimated that approximately 92% of these swallowed objects go through the gastrointestinal tract, and 60% of them reach the stomach. However, those that remain in the oropharynx can cause edema, esophageal erosions, perforation, airway obstruction, and even death. In addition, clips attached to the denture increase the risk of the perforation of the esophagus or intestine. Swallowing dentures may occur in adults as the sensitivity of the oral cavity and laryngopharynx decreases by using dentures for a long time.
The current paper presents a case report about ingesting a removable flipper prosthesis in a 48-year-old woman without any severe problems. The woman with epigastric pain was referred to the emergency department due to swallowing her flipper prosthesis. She mentioned that she was eating dinner and after swallowing, she suddenly noticed that her flipper prosthesis was missing from her upper jaw. The arc was observed in her esophagus and removed using Esophagogastroduodenoscopy (EGD).
This paper emphasizes designing a removable flipper prosthesis with enough retention and stability to prevent them from being swallowed. Furthermore, patients should be recommended not to use these objects while sleeping.
